Gina Mobley, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC13778 Issued in MD

Practice address

11711 Joseph Mill Rd
Silver Spring, MD 20906-4868

Phone

(240) 740-1017

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fello IncGroup PAC ID 4880097534, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fello Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Severn, MD
  • NPI 1215515341
  Medicare reassignment Care Compare group NPD
• Fello Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Linthicum Heights, MD
  • NPI 1609740125
  NPD
• Fello Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Annapolis, MD
  • NPI 1649143116
  NPD
• Fello Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Easton, MD
  • NPI 1992679419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1235825340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 QUIET WATERS PL",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032716",
            "telephone_number": "301-938-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 JOSEPH MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064868",
            "telephone_number": "240-740-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "GINA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haika Yonah Mndambi
• Negin Moazami, D.D.S.
• Mobile Medical Care, Inc.
• Mobile Medical Care, Inc.
• Mobile Medical Imaging, LLC
• Motunrayo Mobolaji-Lawal, MD
• Gina Modera, MOT, OTR/L
• Sheela D Modin, M.D.
• Peter Modlin, LCPC
• Shari Modlin, L.C.P.C

• Professional Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.